Andaverde, Juan M

Andaverde, Juan M is an sole proprietor health care provider with primary practice located at 4468 E Kings Canyon Rd , Fresno CA 93702-3605. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Andaverde, Juan M can be contacted via phone (559) 203-5221.

Contact Information

Primary practice address
4468 E Kings Canyon Rd Fresno CA 93702-3605
Phone: (559) 203-5221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1265085344
LBN Legal business name Andaverde, Juan M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2019
Last updated May 8th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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